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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARGO FRANCISCA PUMAR M.D.
NPI 1114156254
Psychiatry & Neurology - Psychiatry in Washington, DC

Active since July 10, 2009PECOS Enrolled
74.46/100
CMS Quality Rating
4545 42ND ST NW STE 214, WASHINGTON, DC 20016(240) 863-2618(202) 765-1219 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Oct 5, 2026, May 17, 2016 (3 updates tracked since 2016).

About Dr. Margo Francisca Pumar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARGO FRANCISCA PUMAR M.D. (NPI 1114156254) is an individual psychiatry provider in Washington, District Of Columbia, licensed in District Of Columbia (MD500002816) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1114156254
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARGO FRANCISCA PUMARCredential: M.D.
Location Address4545 42ND ST NW STE 214Washington, DC 20016-4623
Mailing Address4545 42nd St Nw Ste 214Washington, DC 20016-4623 · (240) 863-2618
Phone(240) 863-2618
Fax(202) 765-1219
Sole ProprietorNo
Enumeration DateJuly 10, 2009
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1114156254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in DC · MD500002816✔ Licensed in VA · 0101282644✔ Licensed in MD · D010196✔ Licensed in CA · A131765
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4545 42ND ST NW STE 214, Washington, DC 20016
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 Sanchez StSan Francisco, CA 94114-1613 · Phone (240) 863-2618

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Margo Francisca Pumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Margo Pumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California Sfgh Medical Group
2,437 mi
Psychiatry
1001 POTRERO AVE, BLDG 25, BLDG 5
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group
NPI 1356316418 (628) 206-8426
University Of California San Francisco
2,440 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
2,440 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARBIT COUNSELING
Counselor (Mental Health)
4545 42ND ST NW STE 214
WASHINGTON, DC 20016
District of Columbia (240) 863-2618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Margo Pumar's NPI number?

The NPI number for Margo Pumar is 1114156254. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Margo Pumar located?

Margo Pumar practices at 4545 42nd St NW Ste 214, Washington, DC 20016. The listed phone number is (240) 863-2618.

What is Margo Pumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Margo Pumar enrolled in Medicare?

Yes. Margo Pumar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Margo Pumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margo Pumar reassigns Medicare benefits to 3 organizations: University Of California Sfgh Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margo Pumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Margo Pumar was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.